Dr Kelly Staton, OD in Petaluma, CA - Medicare Optometry Provider

Dr Kelly Staton, OD is a medicare enrolled "Optometrist" provider in Petaluma, California. She went to University Of Houston - College Of Optometry and graduated in 1992 and has 32 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Karen Griffith Od A Professional Optometry Corporation and her current practice location is 320 Petaluma Blvd S, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 762-8643.

Dr Kelly Staton is licensed to practice in California (license number 10012T) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548302649.

Contact Information

	Dr Kelly Staton, OD
	320 Petaluma Blvd S, Petaluma, CA 94952-4245
	(707) 762-8643
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kelly Staton
Gender	Female
Speciality	Optometry
Experience	32 Years
Location	320 Petaluma Blvd S, Petaluma, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kelly Staton attended and graduated from University Of Houston - College Of Optometry in 1992

NPI Data:

NPI Number: 1548302649
Provider Enumeration Date: 02/13/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7719112705
Enrollment ID: I20131029000754

Medical Identifiers

Medical identifiers for Dr Kelly Staton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548302649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	10012T (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Karen Griffith Od A Professional Optometry Corporation	6204983083	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kelly Staton allows following entities to bill medicare on her behalf.

Provider Name	Karen Griffith Od A Professional Optometry Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992944185 PECOS PAC ID: 6204983083 Enrollment ID: O20090414000178

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly Staton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kelly Staton, OD 124 Jagle St, Cotati, CA 94931-5375 Ph: (707) 792-6783	Dr Kelly Staton, OD 320 Petaluma Blvd S, Petaluma, CA 94952-4245 Ph: (707) 762-8643

Reviews and Comments

Optometrist in Petaluma, CA

Lakeville Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 855 Lakeville St, Suite 102, Petaluma, CA 94952 Phone: 707-763-1423 Fax: 707-981-4582
Dr. Marques Joseph Bostic, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7707
Dr. Richard B Boyle, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1390 N Mcdowell Blvd Ste F, Petaluma, CA 94954 Phone: 707-795-7433 Fax: 707-795-7359
Gordon Miles Wong, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 66 E Washington St, Petaluma, CA 94952 Phone: 707-778-1048 Fax: 707-778-0113
Dr. Ronald Lee Harris, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1225 North Mcdowell Blvd., Petaluma, CA 94954 Phone: 707-763-2020 Fax: 707-763-4735
Liana Yungay Lam, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3930
Dr. Richard Cole Aston, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 345b S Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-778-1961 Fax: 707-778-1369

Dr Kelly Staton, OD - Medicare Optometrist in Petaluma, CA